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Report of Dental Evaluation
Report of Dental Evaluation
OMB: 0420-0546
IC ID: 198187
OMB.report
PEACE
OMB 0420-0546
ICR 201410-0420-002
IC 198187
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0420-0546 can be found here:
2020-11-17 - Reinstatement without change of a previously approved collection
2017-01-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form PC-OMS-1790 Dental
Report of Dental Evaluation
Form and Instruction
PC-OMS-1790 Dental Report of Dental Evaluation
Report_of_Dental_Evaluation.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Report of Dental Evaluation
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
PC-OMS-1790 Dental S
Report of Dental Evaluation
Report_of_Dental_Evaluation.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
International Development and Humanitarian Aid
Privacy Act System of Records
Title:
Volunteer Applicant and Service Records
FR Citation:
70 FR 1
Number of Respondents:
5,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,400
0
400
0
5,000
0
Annual IC Time Burden (Hours)
4,050
0
300
0
3,750
0
Annual IC Cost Burden (Dollars)
864,000
0
864,000
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.